Government supported anything doesn't work. So if you put someone in charge of something they don't believe in, they'll ignore it until it goes away. Then you can point to it and say, "see? It doesn't work!"

Bush: We hope you will have children you cannot afford so we can deny them health insurance and lecture you about personal responsibility. And if they get sick, we will buy your house from you at a price slightly below market value so you can pay their medical bills. Mission Accomplished.